SlideShare une entreprise Scribd logo

Coma Bp

•Télécharger en tant que PPT, PDF•
•
Richard Brown
Richard Brown
Santé & Médecine
1  sur  42
MANAGEMENT OF UNCONSCIOUS PATIENT DR. B. PRAKASH. Prof. M.B. PRANESH DEPT. OF NEUROLOGY KG HOSPITAL AND POSTGRADUATE INSTITUTE, COIMBATORE – INDIA
INTRODUCTION ,[object Object],[object Object],[object Object],[object Object]
STAGES OF CONSCIOUSNESS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Eye opening 4 Spontaneous 3 To speech 2 To pain 1 None Best motor response 6 Obeying 5 Localizing pain 4 Withdrawal 3 Abnormal flexing 2 Extensor response 1 None GLASGOW COMA SCALE Best verbal response 5 Oriented 4 Confused conversation 3 Inappropriate words 2 Incomprehensible sounds 1 None USED MOSTLY FOR HEAD INJURY PATIENTS RATHER THAN STROKE (HEMIPLEGIA,APHASIA)
Algorhythm COMA Airway/?Intubate IV Line CFCD Tests-Eme History-Eme CBC, ESR Sugar,RFT ABG,Lytes CXR,ECG Ca,Mg, Toxic Scr’n TRAUMA CT Scan No Trauma Neu.Surg Stiff Neck CT Scan Normal SAH LP Meningitis Toxin Alc->Thiamine 100mg / 50% Dextose 50 ml Opiate -> Inj.Naloxone 0.4-0.8mg IV BenzDia ->Inj.Flumazenil 0.2-1 mg IV Others -> Stomach wash / Antidote / Sympt Supple CNS Exam Normal Lateralising Metabolic CT Scan
SELECTIVE HISTORY TAKING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SELECTIVE EXAMINATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gen. Phy. Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NEUROLOGIC EXAMINATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],7.Gag Reflex 8.Pupils 9.Ocular Movements 10.Motor Response 11.Sensory Resp’se 12.Reflexes
NEU.EXAM-1.GEN.APPEAR’CE ,[object Object],[object Object],[object Object],[object Object],NEU.EXAM- 2.LEVEL OF CONS. ,[object Object],[object Object]
NEU.EXAM- 3.RESPIRATION. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NEUROLOGIC EXAMINATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NEU.EXAM- 8.PUPILS.
[object Object],[object Object],[object Object],[object Object],[object Object],NEU.EXAM- 9.Ocular Movements.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NEU.EXAM- 9.Ocular Movements.
[object Object],[object Object],[object Object],[object Object],NEU.EXAM- 9.Ocular Movements.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NEU.EXAM- 9.Ocular Movements.
NEU.EXAM–MOTOR RESPONSES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],NEU.EXAM–MOTOR RESPONSES
DIAGNOSTIC TESTING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],DIAGNOSTIC TESTING
EMERGENCY TREATMENT FOR COMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CAUSES OF STUPOR AND COMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CEREBRO VASCULAR ACCIDENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ischemic Gliosis of Pons
SLE
Pontine Infarct
Intra Cerebral Hemorrhage
ANEURYSM & SAH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aneurysms
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TRAUMA
Contusion / Concussion / DAI / SAH
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ALCOHOL INTOXICATION
[object Object],[object Object],[object Object],[object Object],[object Object],Post ictal state DIABETES ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Poisoning Meningitis ,[object Object],[object Object],[object Object],[object Object]
ENCEPHALITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Herpes Simplex Encephalitis
PSEUDOCOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VEGETATIVE STATE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GENERAL CARE FOR COMATOSE PTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BRAIN DEATH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU

Recommandé

Neurological examination
Neurological examinationNeurological examination
Neurological examinationQURATULAIN MUGHAL
 
Coma and altered consciousness
Coma and altered consciousnessComa and altered consciousness
Coma and altered consciousnessSaher Farghly
 
Assessment of an unconscious/comatose patient
Assessment of an unconscious/comatose patientAssessment of an unconscious/comatose patient
Assessment of an unconscious/comatose patientmeducationdotnet
 
Guillain barre syndrome
Guillain barre syndromeGuillain barre syndrome
Guillain barre syndromeParvathy Joshy
 
Definitions, and approach to Coma
Definitions, and approach to ComaDefinitions, and approach to Coma
Definitions, and approach to ComaMaria Salema
 
Neurological assessment ppt
Neurological assessment pptNeurological assessment ppt
Neurological assessment pptManali Solanki
 
Approach to coma
Approach to comaApproach to coma
Approach to comaDr. Yagnik Chhotala
 
Non convulsive status epilepticus clinical features, diagnosis
Non convulsive status epilepticus clinical features, diagnosisNon convulsive status epilepticus clinical features, diagnosis
Non convulsive status epilepticus clinical features, diagnosisMohammad A.S. Kamil
 

Recommandé

Neurological examination
Neurological examinationNeurological examination
Neurological examinationQURATULAIN MUGHAL
 
Coma and altered consciousness
Coma and altered consciousnessComa and altered consciousness
Coma and altered consciousnessSaher Farghly
 
Assessment of an unconscious/comatose patient
Assessment of an unconscious/comatose patientAssessment of an unconscious/comatose patient
Assessment of an unconscious/comatose patientmeducationdotnet
 
Guillain barre syndrome
Guillain barre syndromeGuillain barre syndrome
Guillain barre syndromeParvathy Joshy
 
Definitions, and approach to Coma
Definitions, and approach to ComaDefinitions, and approach to Coma
Definitions, and approach to ComaMaria Salema
 
Neurological assessment ppt
Neurological assessment pptNeurological assessment ppt
Neurological assessment pptManali Solanki
 
Approach to coma
Approach to comaApproach to coma
Approach to comaDr. Yagnik Chhotala
 
Non convulsive status epilepticus clinical features, diagnosis
Non convulsive status epilepticus clinical features, diagnosisNon convulsive status epilepticus clinical features, diagnosis
Non convulsive status epilepticus clinical features, diagnosisMohammad A.S. Kamil
 
Electroconvulsive therapy
Electroconvulsive therapyElectroconvulsive therapy
Electroconvulsive therapyBLDEA Shri B M Patil Institute of Nursing sciences Vijayapura
 
Disturbances Of Consciousness
Disturbances Of ConsciousnessDisturbances Of Consciousness
Disturbances Of ConsciousnessEldhose Bose
 
Neurological examination
Neurological examinationNeurological examination
Neurological examinationEkta Patel
 
Neurological examination
Neurological examinationNeurological examination
Neurological examinationjagan _jaggi
 
Management Of Intracranial Hemorrhages
Management Of Intracranial HemorrhagesManagement Of Intracranial Hemorrhages
Management Of Intracranial HemorrhagesEM OMSB
 
Glasgow Coma Scale Presentation
Glasgow Coma Scale PresentationGlasgow Coma Scale Presentation
Glasgow Coma Scale PresentationHayden G
 
Altered Level of Consciousness
Altered Level of ConsciousnessAltered Level of Consciousness
Altered Level of ConsciousnessTarika Sharma, Lecturer, CON, ILBS, New Delhi
 
Mini mental status examination
Mini mental status examinationMini mental status examination
Mini mental status examinationChinna Chadayan
 
Persistent Vegetative State
Persistent Vegetative StatePersistent Vegetative State
Persistent Vegetative StateVITAS Healthcare
 
Approach to the comatose patient
Approach to the comatose patientApproach to the comatose patient
Approach to the comatose patientMehakinder Singh
 
PSYCHIATRIC HISTORY COLLECTION
PSYCHIATRIC HISTORY COLLECTIONPSYCHIATRIC HISTORY COLLECTION
PSYCHIATRIC HISTORY COLLECTIONMeril Manuel
 
Glassgow
GlassgowGlassgow
GlassgowFaisal Kodungookkaran
 
neurological examination ppt
neurological examination pptneurological examination ppt
neurological examination pptkabilansilas
 
Occupational therapy
Occupational therapyOccupational therapy
Occupational therapySathish Rajamani
 
Anatomy and physiology of brain
Anatomy and physiology of brainAnatomy and physiology of brain
Anatomy and physiology of brainSayali Gujjewar
 
NEUROLOGIC EXAMINATION.pptx
NEUROLOGIC EXAMINATION.pptxNEUROLOGIC EXAMINATION.pptx
NEUROLOGIC EXAMINATION.pptxAbhay Rajpoot
 
Coma
ComaComa
ComaDr.mujahid Abdallah
 
Conversion disorder
Conversion disorderConversion disorder
Conversion disorderSreethaAkhil
 
Coma in child
Coma in childComa in child
Coma in childABHIJIT BHOYAR
 
Approach to disturbance of consciousness
Approach to disturbance of consciousnessApproach to disturbance of consciousness
Approach to disturbance of consciousnessOsama Ragab
 
Presentation by dr. mottalib
Presentation by dr. mottalibPresentation by dr. mottalib
Presentation by dr. mottalibMottalib Sarker
 
Coma
ComaComa
ComaMuhammad Badawi
 

Contenu connexe

Tendances

Disturbances Of Consciousness
Disturbances Of ConsciousnessDisturbances Of Consciousness
Disturbances Of ConsciousnessEldhose Bose
 
Neurological examination
Neurological examinationNeurological examination
Neurological examinationEkta Patel
 
Neurological examination
Neurological examinationNeurological examination
Neurological examinationjagan _jaggi
 
Management Of Intracranial Hemorrhages
Management Of Intracranial HemorrhagesManagement Of Intracranial Hemorrhages
Management Of Intracranial HemorrhagesEM OMSB
 
Glasgow Coma Scale Presentation
Glasgow Coma Scale PresentationGlasgow Coma Scale Presentation
Glasgow Coma Scale PresentationHayden G
 
Mini mental status examination
Mini mental status examinationMini mental status examination
Mini mental status examinationChinna Chadayan
 
Persistent Vegetative State
Persistent Vegetative StatePersistent Vegetative State
Persistent Vegetative StateVITAS Healthcare
 
Approach to the comatose patient
Approach to the comatose patientApproach to the comatose patient
Approach to the comatose patientMehakinder Singh
 
PSYCHIATRIC HISTORY COLLECTION
PSYCHIATRIC HISTORY COLLECTIONPSYCHIATRIC HISTORY COLLECTION
PSYCHIATRIC HISTORY COLLECTIONMeril Manuel
 
neurological examination ppt
neurological examination pptneurological examination ppt
neurological examination pptkabilansilas
 
Anatomy and physiology of brain
Anatomy and physiology of brainAnatomy and physiology of brain
Anatomy and physiology of brainSayali Gujjewar
 
NEUROLOGIC EXAMINATION.pptx
NEUROLOGIC EXAMINATION.pptxNEUROLOGIC EXAMINATION.pptx
NEUROLOGIC EXAMINATION.pptxAbhay Rajpoot
 
Conversion disorder
Conversion disorderConversion disorder
Conversion disorderSreethaAkhil
 
Approach to disturbance of consciousness
Approach to disturbance of consciousnessApproach to disturbance of consciousness
Approach to disturbance of consciousnessOsama Ragab
 

Tendances (20)

Electroconvulsive therapy
Electroconvulsive therapyElectroconvulsive therapy
Electroconvulsive therapy
 
Disturbances Of Consciousness
Disturbances Of ConsciousnessDisturbances Of Consciousness
Disturbances Of Consciousness
 
Neurological examination
Neurological examinationNeurological examination
Neurological examination
 
Neurological examination
Neurological examinationNeurological examination
Neurological examination
 
Management Of Intracranial Hemorrhages
Management Of Intracranial HemorrhagesManagement Of Intracranial Hemorrhages
Management Of Intracranial Hemorrhages
 
Glasgow Coma Scale Presentation
Glasgow Coma Scale PresentationGlasgow Coma Scale Presentation
Glasgow Coma Scale Presentation
 
Altered Level of Consciousness
Altered Level of ConsciousnessAltered Level of Consciousness
Altered Level of Consciousness
 
Mini mental status examination
Mini mental status examinationMini mental status examination
Mini mental status examination
 
Persistent Vegetative State
Persistent Vegetative StatePersistent Vegetative State
Persistent Vegetative State
 
Approach to the comatose patient
Approach to the comatose patientApproach to the comatose patient
Approach to the comatose patient
 
PSYCHIATRIC HISTORY COLLECTION
PSYCHIATRIC HISTORY COLLECTIONPSYCHIATRIC HISTORY COLLECTION
PSYCHIATRIC HISTORY COLLECTION
 
Glassgow
GlassgowGlassgow
Glassgow
 
neurological examination ppt
neurological examination pptneurological examination ppt
neurological examination ppt
 
Occupational therapy
Occupational therapyOccupational therapy
Occupational therapy
 
Anatomy and physiology of brain
Anatomy and physiology of brainAnatomy and physiology of brain
Anatomy and physiology of brain
 
NEUROLOGIC EXAMINATION.pptx
NEUROLOGIC EXAMINATION.pptxNEUROLOGIC EXAMINATION.pptx
NEUROLOGIC EXAMINATION.pptx
 
Coma
ComaComa
Coma
 
Conversion disorder
Conversion disorderConversion disorder
Conversion disorder
 
Coma in child
Coma in childComa in child
Coma in child
 
Approach to disturbance of consciousness
Approach to disturbance of consciousnessApproach to disturbance of consciousness
Approach to disturbance of consciousness
 

En vedette

Presentation by dr. mottalib
Presentation by dr. mottalibPresentation by dr. mottalib
Presentation by dr. mottalibMottalib Sarker
 
Approach to coma
Approach to comaApproach to coma
Approach to comaPS Deb
 
Coma final
Coma finalComa final
Coma finalashabdou
 
FA: Consciousness
FA: ConsciousnessFA: Consciousness
FA: ConsciousnessMUBOSScz
 
evaluation & management of patient in coma
evaluation & management of patient in coma evaluation & management of patient in coma
evaluation & management of patient in coma Dr Abdul sherwani
 
Patient coma (33)
Patient coma (33)Patient coma (33)
Patient coma (33)Syra Sarwar
 
Consciousness, ras and approach to coma
Consciousness, ras and approach to comaConsciousness, ras and approach to coma
Consciousness, ras and approach to comaNeurologyKota
 
Disorder of consciousness
Disorder of consciousnessDisorder of consciousness
Disorder of consciousnessSreemayee Kundu
 
Management of coma and altered sensorium 19.4.01
Management of coma and altered sensorium 19.4.01Management of coma and altered sensorium 19.4.01
Management of coma and altered sensorium 19.4.01PS Deb
 
Alteration Of Consciousness
Alteration Of ConsciousnessAlteration Of Consciousness
Alteration Of Consciousnessmed
 
General approach and differential diagnosis of coma
General approach and differential diagnosis of comaGeneral approach and differential diagnosis of coma
General approach and differential diagnosis of comaAn Chang
 
Management of coma
Management of comaManagement of coma
Management of comaPS Deb
 

En vedette (20)

Presentation by dr. mottalib
Presentation by dr. mottalibPresentation by dr. mottalib
Presentation by dr. mottalib
 
Coma
ComaComa
Coma
 
Coma
ComaComa
Coma
 
Approach to coma
Approach to comaApproach to coma
Approach to coma
 
Coma final
Coma finalComa final
Coma final
 
comatosed patient
comatosed patientcomatosed patient
comatosed patient
 
Coma usmf
Coma usmfComa usmf
Coma usmf
 
FA: Consciousness
FA: ConsciousnessFA: Consciousness
FA: Consciousness
 
9 coma
9 coma 9 coma
9 coma
 
evaluation & management of patient in coma
evaluation & management of patient in coma evaluation & management of patient in coma
evaluation & management of patient in coma
 
Patient coma (33)
Patient coma (33)Patient coma (33)
Patient coma (33)
 
Consciousness, ras and approach to coma
Consciousness, ras and approach to comaConsciousness, ras and approach to coma
Consciousness, ras and approach to coma
 
Coma 1st Aid by Dr.Mohamed El-Abiad
Coma 1st Aid by Dr.Mohamed El-AbiadComa 1st Aid by Dr.Mohamed El-Abiad
Coma 1st Aid by Dr.Mohamed El-Abiad
 
Disorder of consciousness
Disorder of consciousnessDisorder of consciousness
Disorder of consciousness
 
Unconsciousness presentation 1
Unconsciousness presentation 1Unconsciousness presentation 1
Unconsciousness presentation 1
 
Doctor and-patient
Doctor and-patientDoctor and-patient
Doctor and-patient
 
Management of coma and altered sensorium 19.4.01
Management of coma and altered sensorium 19.4.01Management of coma and altered sensorium 19.4.01
Management of coma and altered sensorium 19.4.01
 
Alteration Of Consciousness
Alteration Of ConsciousnessAlteration Of Consciousness
Alteration Of Consciousness
 
General approach and differential diagnosis of coma
General approach and differential diagnosis of comaGeneral approach and differential diagnosis of coma
General approach and differential diagnosis of coma
 
Management of coma
Management of comaManagement of coma
Management of coma
 

Similaire à Coma Bp

Approach to Hemi & Quadriparesis by Momen
Approach to Hemi & Quadriparesis by MomenApproach to Hemi & Quadriparesis by Momen
Approach to Hemi & Quadriparesis by MomenMomen Ali Khan
 
medicine.Coma managment.(dr.muhamad tahir)
medicine.Coma managment.(dr.muhamad tahir)medicine.Coma managment.(dr.muhamad tahir)
medicine.Coma managment.(dr.muhamad tahir)student
 
Coma and brain stem death
Coma and brain stem deathComa and brain stem death
Coma and brain stem deathReed O'Brien
 
NEW GUIDELINES FOR Status epilepticus
NEW GUIDELINES FOR Status epilepticus NEW GUIDELINES FOR Status epilepticus
NEW GUIDELINES FOR Status epilepticus njdfmudhol
 
medicine.Coma.(dr.muhamad tahir)
medicine.Coma.(dr.muhamad tahir)medicine.Coma.(dr.muhamad tahir)
medicine.Coma.(dr.muhamad tahir)student
 
HOW TO MANAGE PATIENTS WITH VERTIGO?
HOW TO MANAGE PATIENTS WITH VERTIGO?HOW TO MANAGE PATIENTS WITH VERTIGO?
HOW TO MANAGE PATIENTS WITH VERTIGO?mataharitimoer MT
 
approachtocoma-181021215939.pdf
approachtocoma-181021215939.pdfapproachtocoma-181021215939.pdf
approachtocoma-181021215939.pdfMustafaALShlash1
 
Approach to the Comatose patient
Approach to the Comatose patientApproach to the Comatose patient
Approach to the Comatose patientAbdullah Ansari
 
Neurologic Emergencies - Dr. Michael Oubre
Neurologic Emergencies - Dr. Michael OubreNeurologic Emergencies - Dr. Michael Oubre
Neurologic Emergencies - Dr. Michael Oubrebcooper876
 
Epilepsy an overview
Epilepsy an overviewEpilepsy an overview
Epilepsy an overviewHelal Ahmed
 
Myoclonus
MyoclonusMyoclonus
MyoclonusPS Deb
 
Epilepsy in children by Dr.Shanti
Epilepsy in children by Dr.ShantiEpilepsy in children by Dr.Shanti
Epilepsy in children by Dr.ShantiDr. Rubz
 

Similaire à Coma Bp (20)

Gcs
GcsGcs
Gcs
 
Unconsciousness
UnconsciousnessUnconsciousness
Unconsciousness
 
Approach to Hemi & Quadriparesis by Momen
Approach to Hemi & Quadriparesis by MomenApproach to Hemi & Quadriparesis by Momen
Approach to Hemi & Quadriparesis by Momen
 
medicine.Coma managment.(dr.muhamad tahir)
medicine.Coma managment.(dr.muhamad tahir)medicine.Coma managment.(dr.muhamad tahir)
medicine.Coma managment.(dr.muhamad tahir)
 
Unconsciousness
Unconsciousness Unconsciousness
Unconsciousness
 
Coma and brain stem death
Coma and brain stem deathComa and brain stem death
Coma and brain stem death
 
NEW GUIDELINES FOR Status epilepticus
NEW GUIDELINES FOR Status epilepticus NEW GUIDELINES FOR Status epilepticus
NEW GUIDELINES FOR Status epilepticus
 
medicine.Coma.(dr.muhamad tahir)
medicine.Coma.(dr.muhamad tahir)medicine.Coma.(dr.muhamad tahir)
medicine.Coma.(dr.muhamad tahir)
 
Coma
ComaComa
Coma
 
approach to comatose patient
approach to comatose patient approach to comatose patient
approach to comatose patient
 
HOW TO MANAGE PATIENTS WITH VERTIGO?
HOW TO MANAGE PATIENTS WITH VERTIGO?HOW TO MANAGE PATIENTS WITH VERTIGO?
HOW TO MANAGE PATIENTS WITH VERTIGO?
 
approachtocoma-181021215939.pdf
approachtocoma-181021215939.pdfapproachtocoma-181021215939.pdf
approachtocoma-181021215939.pdf
 
Approach to the Comatose patient
Approach to the Comatose patientApproach to the Comatose patient
Approach to the Comatose patient
 
Neurologic Emergencies - Dr. Michael Oubre
Neurologic Emergencies - Dr. Michael OubreNeurologic Emergencies - Dr. Michael Oubre
Neurologic Emergencies - Dr. Michael Oubre
 
A Case of Oro-Facio-Bulbar weakness
A Case of Oro-Facio-Bulbar weaknessA Case of Oro-Facio-Bulbar weakness
A Case of Oro-Facio-Bulbar weakness
 
Neurology examination
Neurology examinationNeurology examination
Neurology examination
 
Epilepsy an overview
Epilepsy an overviewEpilepsy an overview
Epilepsy an overview
 
Myoclonus
MyoclonusMyoclonus
Myoclonus
 
HEAD & SPINAL TRAUMA
HEAD & SPINAL TRAUMAHEAD & SPINAL TRAUMA
HEAD & SPINAL TRAUMA
 
Epilepsy in children by Dr.Shanti
Epilepsy in children by Dr.ShantiEpilepsy in children by Dr.Shanti
Epilepsy in children by Dr.Shanti
 

Plus de Richard Brown

MS or Lyme or neither?
MS or Lyme or neither?MS or Lyme or neither?
MS or Lyme or neither?Richard Brown
 
Frontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesionFrontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesionRichard Brown
 
Neurological Examination
Neurological Examination Neurological Examination
Neurological Examination Richard Brown
 
Guillain Barre Syndrome
Guillain Barre SyndromeGuillain Barre Syndrome
Guillain Barre SyndromeRichard Brown
 
Epilepsy Vs Narcolepsy
Epilepsy Vs NarcolepsyEpilepsy Vs Narcolepsy
Epilepsy Vs NarcolepsyRichard Brown
 
Progressive Spastic Paraparesis
Progressive Spastic ParaparesisProgressive Spastic Paraparesis
Progressive Spastic ParaparesisRichard Brown
 
A 60 year old man with Progressive Dementia and sillly behavior
A 60 year old man with Progressive Dementia and sillly behaviorA 60 year old man with Progressive Dementia and sillly behavior
A 60 year old man with Progressive Dementia and sillly behaviorRichard Brown
 
Progressive cerebellar syndrome:- Case Discussion
Progressive cerebellar syndrome:- Case DiscussionProgressive cerebellar syndrome:- Case Discussion
Progressive cerebellar syndrome:- Case DiscussionRichard Brown
 
ER treatment of Epilepsy
ER treatment of EpilepsyER treatment of Epilepsy
ER treatment of EpilepsyRichard Brown
 
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...Richard Brown
 
Cerebrovascular disease (CVA / Stroke)
Cerebrovascular disease (CVA / Stroke)Cerebrovascular disease (CVA / Stroke)
Cerebrovascular disease (CVA / Stroke)Richard Brown
 

Plus de Richard Brown (20)

MS or Lyme or neither?
MS or Lyme or neither?MS or Lyme or neither?
MS or Lyme or neither?
 
Frontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesionFrontal syndrome and mid-brain lesion
Frontal syndrome and mid-brain lesion
 
Sensory system
Sensory systemSensory system
Sensory system
 
ADHD in Adults
ADHD in AdultsADHD in Adults
ADHD in Adults
 
Neurological Examination
Neurological Examination Neurological Examination
Neurological Examination
 
Gbs Eps Am
Gbs Eps AmGbs Eps Am
Gbs Eps Am
 
Vertigo
VertigoVertigo
Vertigo
 
Headache Jc
Headache JcHeadache Jc
Headache Jc
 
Guillain Barre Syndrome
Guillain Barre SyndromeGuillain Barre Syndrome
Guillain Barre Syndrome
 
Acute Headache Mw
Acute Headache MwAcute Headache Mw
Acute Headache Mw
 
Epilepsy Vs Narcolepsy
Epilepsy Vs NarcolepsyEpilepsy Vs Narcolepsy
Epilepsy Vs Narcolepsy
 
Progressive Spastic Paraparesis
Progressive Spastic ParaparesisProgressive Spastic Paraparesis
Progressive Spastic Paraparesis
 
Foot Drop
Foot DropFoot Drop
Foot Drop
 
PD lecture Atnc
PD lecture AtncPD lecture Atnc
PD lecture Atnc
 
A 60 year old man with Progressive Dementia and sillly behavior
A 60 year old man with Progressive Dementia and sillly behaviorA 60 year old man with Progressive Dementia and sillly behavior
A 60 year old man with Progressive Dementia and sillly behavior
 
Progressive cerebellar syndrome:- Case Discussion
Progressive cerebellar syndrome:- Case DiscussionProgressive cerebellar syndrome:- Case Discussion
Progressive cerebellar syndrome:- Case Discussion
 
Movement Disorders
Movement DisordersMovement Disorders
Movement Disorders
 
ER treatment of Epilepsy
ER treatment of EpilepsyER treatment of Epilepsy
ER treatment of Epilepsy
 
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...
Myasthenia Gravis and Guillan Barre Syndrome (Acute Inflammatory Demyelinatin...
 
Cerebrovascular disease (CVA / Stroke)
Cerebrovascular disease (CVA / Stroke)Cerebrovascular disease (CVA / Stroke)
Cerebrovascular disease (CVA / Stroke)
 

Dernier

(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...narwatsonia7
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiSuhani Kapoor
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 

Dernier (20)

(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 

Coma Bp

  • 1. MANAGEMENT OF UNCONSCIOUS PATIENT DR. B. PRAKASH. Prof. M.B. PRANESH DEPT. OF NEUROLOGY KG HOSPITAL AND POSTGRADUATE INSTITUTE, COIMBATORE – INDIA
  • 2.
  • 3.
  • 4. Eye opening 4 Spontaneous 3 To speech 2 To pain 1 None Best motor response 6 Obeying 5 Localizing pain 4 Withdrawal 3 Abnormal flexing 2 Extensor response 1 None GLASGOW COMA SCALE Best verbal response 5 Oriented 4 Confused conversation 3 Inappropriate words 2 Incomprehensible sounds 1 None USED MOSTLY FOR HEAD INJURY PATIENTS RATHER THAN STROKE (HEMIPLEGIA,APHASIA)
  • 5. Algorhythm COMA Airway/?Intubate IV Line CFCD Tests-Eme History-Eme CBC, ESR Sugar,RFT ABG,Lytes CXR,ECG Ca,Mg, Toxic Scr’n TRAUMA CT Scan No Trauma Neu.Surg Stiff Neck CT Scan Normal SAH LP Meningitis Toxin Alc->Thiamine 100mg / 50% Dextose 50 ml Opiate -> Inj.Naloxone 0.4-0.8mg IV BenzDia ->Inj.Flumazenil 0.2-1 mg IV Others -> Stomach wash / Antidote / Sympt Supple CNS Exam Normal Lateralising Metabolic CT Scan
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 26. SLE
  • 29.
  • 31.
  • 32. Contusion / Concussion / DAI / SAH
  • 33.
  • 34.
  • 35.
  • 36.
  • 38.
  • 39.
  • 40.
  • 41.